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Louisiana rates for HCPCS 25426

Repair Defect W/Autograft Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.61 / $1,466.72 / $1,982.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.66 / $5,937.24 / $10,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.83 / $1,461.97 / $2,040.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,001.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.13 / $1,571.65 / $2,051.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.31 / $1,330.00 / $2,357.58